Building a Well Communities Research Consortium to address health disparities through Integrated Care Systems

社区资产，如强大的社区网络和团体、艺术和文化活动、公园和绿地，已被证明与广泛的健康和社会效益有关，但卫生和保健系统要大规模实现这些效益还存在挑战。并不是每个人都能从这些类型的资产中受益，那些来自健康状况较差的边缘群体的人受益的可能性最小。该研究联盟将探索地方卫生和保健系统如何更好地与社区资产对接、开发和调动，以改善健康并减少两个不同地理环境下的健康差距。该联盟将采用一个名为“良好社区”的框架来发展、规划和协调其活动。Well Community汇集了一系列基于资产的社区发展和联合制作方法，这些方法已经在伦敦40多个最贫困的社区进行了试验、测试和改进，现在正被转移到北安普敦郡的背景下。该联盟将在这项工作的基础上研究和开发方法，以便在伦敦内外的新的综合护理系统(ICSS)中扩大、传播和嵌入这种方法。Well社区研究联盟将专注于两个广泛的研究问题：1)社区间差异的驱动因素是什么，以及新的ICSS如何与社区资产对接并帮助开发和动员社区资产，以帮助解决健康差距？2)如何能够扩大、嵌入、持续和访问旨在支持ICSS与社区资产对接的模型，以促进改善健康结果、减少差异和创建更健康的社区？这种支持的理由是为了支持一个九个月的项目，以建立我们的联盟，在随后的三年研究计划中充分解决上述问题。由于特别注重以艺术和自然环境为基础的资产，需要广泛的学科和跨部门的非学术伙伴--他们通常不在一起工作--才能成功地设计和开展研究方案并确保产生影响。为了建立这个联盟，我们将使用Well社区框架中的方法，包括世界咖啡馆、全系统研讨会、参与式系统映射和基于艺术的方法。这些方法将促进参与和联合制作，并在有生活经验的人、研究人员、医疗保健系统利益相关者、社区和志愿部门以及那些在以艺术和自然环境为重点的团体和组织中工作的人之间建立新的关系和伙伴关系。

Community assets such as strong community networks and groups, arts and cultural activities, parks and green spaces have been shown to be associated with a wide range of health and social benefits but there are challenges for heath and care systems to realise these benefits at scale. Not everyone is able to benefit from these types of assets, with those from marginalised groups who often experience poorer health least likely to benefit. This Research Consortium will explore how local health and care systems can better interface with, develop and mobilise community assets to improve health and reduce health disparities in two contrasting geographical contexts. The Consortium will adapt a framework called 'Well Communities' to develop, plan and co-ordinate its activities. Well Communities brings together a range of asset-based community development and co-production approaches that have been tried, tested and refined across more than 40 of the most disadvantaged neighbourhoods in London and are now being transferred into the Northamptonshire context. The Consortium will build on this work to research and develop ways to scale-up, spread and embed such approaches within new Integrated Care Systems (ICSs) within and outside of London. The Well Communities Research Consortium will focus on two broad research questions: 1) What are the drivers of disparities across communities and how can new ICSs interface with, and help develop and mobilise, community assets to help tackle health disparities?2) How can models designed to support ICSs to interface with community assets be scaled-up, embedded, sustained, and accessed to contribute to improving health outcomes, reducing disparities and creating healthier communities? This case for support is for a nine month project to build our Consortium to fully address the questions above in a subsequent three year research programme. With a focus in particular on arts-based and natural environment assets, a wide range of disciplines and cross-sectoral non-academic partners - who do not usually work together - are needed to successfully design and undertake the research programme and ensure impact. To build the consortium we will use methodologies from the Well Communities framework, including World Café, whole system workshops, participatory systems mapping and arts-based methods. These methods will facilitate engagement and co-production and develop new relationships and partnerships between people with lived experience, researchers, health and care system stakeholders, community and voluntary sector and those working in arts based and natural environment focused groups and organisations.